What does code 42804 cost?

Across the published hospital price files, the disclosed cash price for 42804 ranges from $2,250 to $8,966. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

42804 is the billing code hospitals use to identify "Biopsy of upper nose/throat" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

42804

HCPCS

Biopsy of upper nose/throat

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 42804 (Biopsy of upper nose/throat) appears at 39 hospitals with disclosed cash prices from $2,250 to $8,966. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 42804 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 42804 vary by about 4× across the 29 hospitals with disclosed prices here — from $2,250 to $8,966. Shopping around can matter.

Hospitals

Prices shown

$2,250

Lowest cash

$8,966

Highest cash

code 42804 cash price30 disclosed · 29 hospitals

$2,250median ~$8,966$8,966

Lowest cash price by hospital

Atrium Health Mercy$2,250
Stanford Health Care$2,868
Endeavor Health Swedish Hospital$3,221
Orange County Anaheim Medical Center$3,401
Munson Healthcare Charlevoix Hospital$3,696
Munson Healthcare Manistee Hospital$3,696

Cash price by city

Reflects your current filters.

Cash price by city$2,250 – $3,696

Charlotte · 1 hospital$2,250
Stanford · 1 hospital$2,868
Chicago · 1 hospital$3,221
Anaheim · 1 hospital$3,401
Charlevoix · 1 hospital$3,696
Manistee · 1 hospital$3,696

56 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Biopsy of upper nose/throat Outpatient	Endeavor Health Edward Hospital	42804 HCPCS	—	—	$377 – $5,724	—
Pr Biopsy Nasopharynx Visible Lesion Simple-Pbb Inpatient & outpatient	University of Chicago Medical Center	42804 HCPCS	—	—	—	—
Hc Biopsy; Nasopharynx, Visible Lesion, Simple Inpatient & outpatient	University of Chicago Medical Center	42804 HCPCS	—	—	—	—
Hc Biopsy; Nasopharynx, Visible Lesion, Simple-Pbb Inpatient & outpatient	University of Chicago Medical Center	42804 HCPCS	—	—	—	—
Biopsy of upper nose/throat Outpatient	University of Chicago Medical Center	42804 HCPCS	—	—	—	—
BIOPSY NASOPHARYNX,SIMPLE Inpatient & outpatient	Endeavor Health Swedish Hospital	42804 HCPCS	$3,221	$3,221	—	—
Biopsy Nasopharynx Visible Lesion Simple 42804 Inpatient	Munson Healthcare Charlevoix Hospital	42804 CPT	$4,348	$3,696	$3,478 – $4,348	—
Biopsy Nasopharynx Visible Lesion Simple 42804 Inpatient	Munson Healthcare Manistee Hospital	42804 CPT	$4,348	$3,696	$852 – $4,000	—
Biopsy Nasopharynx Visible Lesion Simple 42804 Inpatient	Munson Healthcare Cadillac	42804 CPT	$4,348	$3,696	$852 – $3,696	—
Biopsy Nasopharynx Visible Lesion Simple 42804 Outpatient	Munson Medical Center	42804 CPT	$4,348	$3,696	$1,594 – $8,259	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Antioch Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Fremont Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
Biopsy nasopharynx visible simple Inpatient	Stanford Health Care	42804 HCPCS	$7,170	$2,868	—	—
Biopsy nasopharynx visible simple Outpatient	Stanford Health Care	42804 HCPCS	$7,170	$2,868	—	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Fresno Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Oakland Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Redwood City Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Richmond Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Roseville Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Sacramento Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	San Francisco Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	San Jose Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	San Leandro Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	San Rafael Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—
BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE Inpatient & outpatient	Santa Clara Medical Center	42804 CPT	$16,010	$8,966	$3,919 – $12,272	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 42804 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Endeavor Health Swedish Hospital Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Munson Healthcare Cadillac Munson Medical Center Antioch Medical Center Fremont Medical Center Stanford Health Care Fresno Medical Center Oakland Medical Center Redwood City Medical Center Richmond Medical Center Roseville Medical Center Sacramento Medical Center San Francisco Medical Center San Jose Medical Center San Leandro Medical Center San Rafael Medical Center Santa Clara Medical Center Santa Rosa Medical Center Texas Health Center for Diagnostics and Surgery Plano South Sacramento Medical Center South San Francisco Medical Center Stockton Medical Center - Manteca Stockton Medical Center - Modesto Vacaville Medical Center Vallejo Medical Center Walnut Creek Medical Center Orange County Anaheim Medical Center Jefferson Abington Hospital Jefferson Bucks Hospital Jefferson Cherry Hill Hospital Jefferson Frankford Hospital Jefferson Lansdale Hospital Jefferson Methodist Hospital Atrium Health Mercy Atrium Health Union

Code 42804: frequently asked

What does code 42804 cost?: Across the published hospital price files, the disclosed cash price for 42804 ranges from $2,250 to $8,966. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 42804?: 42804 is the billing code hospitals use to identify "Biopsy of upper nose/throat" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 42804 by state

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